Active NPI 1669541728 Individual Practitioner Female Practitioner

Dr. Kusuma Gowdar , MD

Pediatrics • Decatur, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kusuma Gowdar, MD is a registered healthcare professional specializing in Pediatrics in Decatur, IL. Practice services are available at 741 W PERSHING RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

741 W Pershing Rd

Decatur, IL 62526

Telephone 2178767200

Fax 2178767233

Associated Practice Facility / Clinic

🏢 Lake Shore Ob Gyn Of Decatur S C Facility NPI 1700925583

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Decatur, IL

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 30.0 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

15 Specialists

Practicing in Decatur, IL (3277 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IL 036052460

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Prasanna Gowdar , MD

Family Medicine

NPI 1316023559

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active September 18, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location September 18, 2014

Registered at 741 W PERSHING RD, DECATUR, IL 62526 (Tel: 2178767200)

📍

Updated Business Mailing Address September 18, 2014

Registered at 2300 N EDWARD ST, GSBLL, DECATUR, IL 625264163 (Tel: 2178762857)

👤

Provider Name / Credentials Updated September 18, 2014

Recorded as KUSUMA GOWDAR, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 18, 2014

Pediatrics (License #036052460 in IL)

🟢

Initial NPI Registration & Enumeration November 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1669541728

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 06, 2006

Last Update: September 18, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2300 N Edward St, Gsbll

Decatur, IL 625264163

Phone: 2178762857

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.